Dermatology Center of Lake Cumberland, Psc

NPI #1477639243 in Somerset, Kentucky

Provider Information

NPI Number
1477639243
Entity Type
Organization
Organization Name
Dermatology Center of Lake Cumberland, Psc
Primary Specialty
Dermatology
Enumeration Date
Oct 27, 2006
Last Updated
Mar 11, 2013

Practice Location

Address
120 TRADEPARK DR
Address 2
SUITE B
ZIP Code
42503-3454
Phone
(606) 679-9292

Authorized Official

Name
DR. TERESA BENTLEY, M.D.
Title
PHYSICIAN/OWNER
Phone
(606) 679-9292

Specialties & Taxonomy Codes

Specialty
Dermatology - Clinical & Laboratory Dermatological ImmunologyClinical & Laboratory Dermatological Immunology
Dermatology - DermatopathologyDermatopathology
Dermatology - MOHS-Micrographic SurgeryMOHS-Micrographic Surgery
Physician Assistant - MedicalMedical
Dermatology

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